State Overview: U.S. Virgin Islands

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No data available for licensed professional counselors ability to diagnose.

No data available for the certification of peer support specialists.

Physician relationship required for practice and prescriptive authority.

NMs must have a written collaborative agreement with a physician. The agreement must specify the procedures requiring the physician's presence when performed. The physical presence of a physician is not required at all times and methods of communication must be available for consultation between the NP and physician. U.S. Virgin Islands Code tit. 27 §101a

NMs may prescribe drugs, devices and Schedules IV-V controlled substances to the extent established by the Virgin Islands Board of Nurse Licensure. A NM's prescription orders must be periodically reviewed by the collaborating physician. U.S. Virgin Islands Code tit. 27 §101a

Physician relationship required for practice and prescriptive authority.

NPs must have a written collaborative agreement with a physician. The agreement must specify the procedures requiring the physician's presence when performed. The physical presence of a physician is not required at all times and methods of communication must be available for consultation between the NP and physician. U.S. Virgin Islands Code tit. 27 §101a

NPs may prescribe drugs, devices and Schedules IV-V controlled substances to the extent established by the Virgin Islands Board of Nurse Licensure. An NP's prescription orders must be periodically reviewed by the collaborating physician. U.S. Virgin Islands Code tit. 27 §101a

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NPs are not explicitly recognized in policy as primary care providers.

Physician relationship required for practice and prescriptive authority.

CRNAs must have a written collaborative agreement with a physician. The agreement must specify the procedures requiring the physician’s presence when performed. The physical presence of a physician is not required at all times, and methods of communication must be available for consultation between the CRNA and physician. U.S. Virgin Islands Code tit. 27 §101a

CRNAs may prescribe drugs, devices and Schedules IV-V controlled substances to the extent established by the Virgin Islands Board of Nurse Licensure. A CRNA’s prescription orders must be periodically reviewed by the collaborating physician. U.S. Virgin Islands Code tit. 27 §101a

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The U.S. Virgin Islands do not allow dental hygienists to practice with direct access.

Dental therapists are not recognized as an oral health provider.

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Supervision with a physician required for practice and prescriptive authority.

Physician assistants practice medicine with physician supervision, as provided in section 50j. Physician assistants may perform those duties and responsibilities, including the ordering, prescribing and dispensing and administering of drugs and medical devices that are delegated by their supervising physician or physicians.

Physician assistants may provide any medical service that is delegated by the supervising physician when the service is within the physician assistant's skills, forms a component of the physician's scope of practice, and is provided with supervision. U.S. Virgin Islands Code tit. 27 §50h

In the Virgin Islands a physician is not permitted to supervise more than three physician assistants at any one time. U.S. Virgin Islands Code tit. 27 §50j(a)

The Virgin Islands does not currently have any provisions related to chart review or chart co-signatures.

Statute allows adaptable proximity.

Supervision shall be continuous but shall not be construed as necessarily requiring the physical presence of the supervising physician at the time and place that the services are rendered. A supervising physician must be present on the island where the physician assistant service is being rendered to constitute continuous supervision. If the supervising physician is not present on the island where the physician assistant services are being rendered then the supervisory responsibility may be delegated by that physician to another physician with whom a supervisory agreement with the physician assistant is in place. U.S. Virgin Islands Code tit. 27 §50j

PAs perform duties and responsibilities delegated by their supervising physician. U.S. Virgin Islands Code tit. 27 §50h